This study evaluated CBF and BBB water exchange rate (kw) measured by diffusion prepared pseudo-continuous arterial spin labeling (DP-pCASL) in a cohort of aged African American individuals. The results showed decreasing CBF and kw with age, and higher CBF in females. Both CBF and kw were correlated with picture sequence memory test score. CBF was negatively correlated with white matter hyperintensities (WMH), free water (FW) and peak skeletonized mean diffusivity (PSMD), although age accounted for these correlations. These findings suggest the potential for CBF and kw as biomarkers of cerebral small vessel disease.
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